| Midwest Infectious Disease Pllc | |
|
6301 Glen Hill Rd Louisville KY 40222-6026 | |
| (502) 380-5658 | |
| Not Available |
| Full Name | Midwest Infectious Disease Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6301 Glen Hill Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Khaled Jouja (OWNER) |
| Authorized Official Contact | 5023805658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Infectious Disease Pllc Po Box 221646 Louisville KY 40252-1646 Ph: (502) 380-5658 | Midwest Infectious Disease Pllc 6301 Glen Hill Rd Louisville KY 40222-6026 Ph: (502) 380-5658 |
| NPI Number | 1093919250 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 11/19/2009 |
| Medicare PECOS PAC ID | 0042305708 |
|---|---|
| Medicare Enrollment ID | O20070926001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093919250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Khaled Jouja |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548240369 PECOS PAC ID: 5092808634 Enrollment ID: I20070912000473 |
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